National Academies Press: OpenBook
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

THE LEARNING HEALTH SYSTEM SERIES

Image

ACCELERATING

Medical Evidence
Generation

AND USE

Joe Selby, Eric Larson, Rainu Kaushal, Maryan Zirkle,
Marianne Hamilton Lopez, and Danielle Whicher, Editors

Image

Image

WASHINGTON, DC
NAM.EDU

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

NATIONAL ACADEMY OF MEDICINE • 500 FIFTH STREET, NW • WASHINGTON, DC 20001

NOTICE: This publication has undergone peer review according to procedures established by the National Academy of Medicine (NAM). Publication by the NAM signifies that it is the product of a carefully considered process and is a useful contribution worthy of public attention, but does not represent formal endorsement of conclusions and recommendations by the NAM. The views presented in this publication are those of individual authors and do not represent formal consensus positions of the NAM; the National Academies of Sciences, Engineering, and Medicine; or the authors’ organizations.

Support for this activity was provided by the Patient-Centered Outcomes Research Institute.

Digital Object Identifier: https://doi.org/10.17226/27123

Library of Congress Cataloguing-in-Publication Data:

Names: Selby, Joe, editor. | Larson, Eric B., editor. | Kaushal, Rainu, editor. | Zirkle, Maryan, editor. | Lopez, Marianne Hamilton, editor. | National Academy of Medicine (U.S.), publisher. | Accelerating Medical Evidence

Generation and Use (Conference) (2016 : Washington, D.C.)

Title: Accelerating medical evidence generation and use : summary of a meeting series / Joe Selby, Eric Larson, Rainu Kaushal, Maryan Zirkle, Marianne Hamilton Lopez, and Danielle Whicher, editors.

Description: Washington, DC : National Academy of Medicine, [2017] | Summary of 2 meetings hosted by the National Academy of Medicine on January 21 and September 8, 2016. The meetings were sponsored by PCORI and held under the auspices of the NAM Executive Leadership Network (ELN) for Continuously Learning Health Care, an executive-level initiative of the Leadership Consortium for a Value & Science-Driven Health System. | Includes bibliographical references.

Identifiers: LCCN 2017042175 (print) | LCCN 2017041416 (ebook) | ISBN 9781947103047 (pbk.) | ISBN 9781947103054 (Ebook)

Subjects: | MESH: Biomedical Research--methods | Evidence-Based Medicine | Data Collection | Information Dissemination | Health Information Management | Delivery of Health Care--organization & administration | United States | Congresses

Classification: LCC R850 (ebook) | LCC R850 (print) | NLM W 20.5 | DDC 610.72/4--dc23

LC record available at https://lccn.loc.gov/2017041416

Copyright 2017 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America.

Suggested citation: Selby, J., E. Larson, R. Kaushal, M. Zirkle, M. Hamilton Lopez, and D. Whicher, editors. 2017. Accelerating medical evidence generation and use: Summary of a meeting series. Washington, DC: National Academy of Medicine.

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

“Knowing is not enough; we must apply.
Willing is not enough; we must do.”

—Goethe

Image

Image

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

ABOUT THE NATIONAL ACADEMY OF MEDICINE

The National Academy of Medicine is one of three Academies constituting the National Academies of Sciences, Engineering, and Medicine (the National Academies). The National Academies provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on issues of health, medical care, and biomedical science and technology. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

Learn more about the National Academy of Medicine at NAM.edu.

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

PLANNING COMMITTEE

ERIC B. LARSON, MD, MPH, MACP (Chair), Kaiser Permanente Washington Health Research Institute

AMY ABERNETHY, MD, PhD, Flatiron

JONATHAN FINKELSTEIN, MD, MPH, Harvard Medical School

BRENT JAMES, MD, MStat, Intermountain Healthcare

RAINU KAUSHAL, MD, MPH, Weill Cornell Medical College & New York-Presbyterian Hospital

KATHERINE M. NEWTON, PhD, Kaiser Permanente Washington Health Research Institute

JONATHAN B. PERLIN, MD, PhD, MSHA, Hospital Corporation of America

JOE V. SELBY, MD, MPH, Patient-Centered Outcomes Research Institute

NIRAV R. SHAH, MD, MPH, Kaiser Permanente

NAM Staff

Development of this publication was facilitated by contributions of the following NAM staff, under the guidance of Michael McGinnis, MD, MPP, NAM Leonard D. Schaeffer Executive Officer and Executive Director of the Leadership Consortium for a Value & Science-Driven Health System:

MARIANNE HAMILTON LOPEZ, PhD, MPA, Senior Program Officer and Project Director

DANIELLE WHICHER, PhD, MHS, Senior Program Officer

GWEN HUGHES, Senior Program Assistant

MICHELLE JOHNSTON-FLEECE, MPH, Senior Program Officer

VANANH VO, Senior Program Assistant (after November 2016)

ROSHEEN BIRDIE, Senior Program Assistant (until September 2016)

LAURA HARBOLD DeSTEFANO, Director of Communications

KYRA E. CAPPELUCCI, Communications Specialist

MOLLY DOYLE, Communications Specialist

REBECCA MORGAN, MLIS, Senior Research Librarian, National Academies of Sciences, Engineering, and Medicine

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

Consultant

TERESA WISEMAN, Rapporteur

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

REVIEWERS

This special publication was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with review procedures established by the National Academy of Medicine. We wish to thank the following individuals for their review of this publication:

TOM W. CARTON, PhD, MS, Louisiana Public Health Institute; Research Action for Health Network

NIRAV R. SHAH, MD, MPH, Kaiser Permanente

JOHN WARNER, MD, MBA, University of Texas, Southwestern University Hospitals

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the publication, nor did they see the final draft before it was published. Review of this publication was overseen by Marianne Hamilton Lopez, PhD, MPA, Senior Program Officer, NAM; and Michael McGinnis, MD, MPP, Leonard D. Schaeffer Executive Officer, NAM. Responsibility for the final content of this publication rests entirely with the editors and the NAM.

Page viii Cite
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

This page intentionally left blank.

Page xiii Cite
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

ACRONYMS AND ABBREVIATIONS

ACA Patient Protection and Affordable Care Act
ACO accountable care organization
AHRQ Agency for Healthcare Research and Quality
CDRN Clinical Data Research Network (funded by PCORI)
CEO chief executive officer
CHAB community health advisory board
CHOP Children’s Hospital of Philadelphia
CLABSI central line–associated bloodstream infection
CMS Centers for Medicare & Medicaid Services
CT computed tomography
ED emergency department
EHR electronic health record
ELN NAM Executive Leadership Network
FDA US Food and Drug Administration
IHI Institute for Healthcare Improvement
IOM Institute of Medicine (now National Academy of Medicine)
MRI magnetic resonance imaging
MRSA methicillin-resistant Staphylococcus aureus
NAM National Academy of Medicine
NIH National Institutes of Health
NQF National Quality Forum
ONC Office of the National Coordinator for Health Information Technology
PCMH patient-centered medical home (or primary care medical home)
PCORI Patient-Centered Outcomes Research Institute
PCORnet National Patient-Centered Clinical Research Network
PICC peripherally inserted central catheter
PPRN Patient-Powered Research Network
REACHnet Research Action for Health Network
ROI return on investment
TCPI Transforming Clinical Practice Initiative
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R1
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R2
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R3
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R4
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R5
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R6
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R8
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R9
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R10
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R11
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R12
Page xiii Cite
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R13
Suggested Citation:"Front Matter." National Academy of Medicine. 2017. Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series. Washington, DC: The National Academies Press. doi: 10.17226/27123.
×
Page R14
Next: 1 Introduction and Overview »
Accelerating Medical Evidence Generation and Use: Summary of a Meeting Series Get This Book
×
Buy Paperback | $20.00 Buy Ebook | $16.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

In 2016, the National Academy of Medicine (NAM) hosted a series of meetings, which was sponsored by the Patient-Centered Outcomes Research Institute, with support from NAM's Executive Leadership Network. The series underscored the importance of partnerships between researchers and health system leadership and considered opportunities to build institutional capacity, cross-institutional synergy, and system-wide learning. During these meetings, health system executives, researchers, and others discussed building infrastructure that simultaneously facilitates care delivery, care improvement and evidence development. The vision is a digital system-wide progress toward continuous and seamless learning and improvement throughout health and health care. This publication aims to answer the following questions:

  1. How can evidence development be accelerated, given current knowledge and resources?
  2. What might that mean for better outcomes for patients and greater efficiency in health care?
  3. What system and culture changes are required to generate evidence from the care experience?
  4. How much progress has been made in preparing the field for the paradigm shift?
  5. What are the hallmarks of successful partnerships among care executives and research leaders?
  6. What are the priorities in advancing executive leadership to the next level for continuously learning health and health care?
  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!